针灸结合综合康复治疗脑弥漫性轴索损伤的疗效

发布时间：2019-05-06 17:40

【摘要】：目的探讨针灸结合综合康复治疗脑弥漫性轴索损伤(DAI)的临床疗效。方法回顾性分析该院2007年1月至2009年12月康复医学科和神经外科住院的DAI患者60例,根据治疗方法不同分为两组,对照组30例,采用常规治疗方法;针灸组在常规治疗基础上行针灸结合综合康复治疗。观察两组治疗前后运动、认知功能等并进行评价比较。结果两组治疗前后简化Fugl-Meyer评分、LOTCA评分及Barthel指数均有差异(P0.01);同时,治疗后针灸组简化Fugl-Meyer评分、LOTCA评分及Barthel指数明显高于对照组(P0.05)。结论针灸结合综合康复治疗DAI患者效果显著;早发现、综合治疗、及时防治并发症才能提高成活率。
[Abstract]:Objective to investigate the clinical effect of acupuncture combined with comprehensive rehabilitation in the treatment of diffuse axonal injury (DAI). Methods from January 2007 to December 2009, 60 patients with DAI were divided into two groups: control group (n = 30) and control group (n = 30), who were admitted to the department of rehabilitation medicine and neurosurgery from January 2007 to December 2009.The patients were divided into two groups according to the different treatment methods. Acupuncture group was treated with acupuncture combined with comprehensive rehabilitation on the basis of routine treatment. The motor and cognitive functions of the two groups were observed and compared before and after treatment. Results there were significant differences in simplified Fugl-Meyer score, LOTCA score and Barthel index between the two groups before and after treatment (P0.01), at the same time, the simplified Fugl-Meyer score, LOTCA score and Barthel index in the acupuncture group were significantly higher than those in the control group after treatment (P0.05). Conclusion Acupuncture combined with comprehensive rehabilitation is effective in the treatment of DAI patients, and early discovery, comprehensive treatment and timely prevention and treatment of complications can improve the survival rate.
【作者单位】：西安交通大学医学院第一附属医院康复医学科;西安交通大学医学院第一附属医院神经外科;
【基金】：陕西省中医药管理局(2007ZY-6)
【分类号】：R743.3;R246.6

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